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Reimbursement Analyst - Value Based Care

Reimbursement Analyst - Value Based Care

Altru HealthLarimore, ND, US
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Job Description

Everything we do is underscored by a why - and that why is one another.

Location : Altru Health System

PO Box 6002Grand Forks, ND 58201

Pay Range : $60,715.20 - $91,083.20

Summary :

The Reimbursement Analyst plays a critical role in supporting the financial health of the organization by analyzing reimbursement trends and performance within value-based care programs. This position focuses on evaluating payer contracts, identifying revenue opportunities, and monitoring key metrics tied to quality, cost, and patient outcomes. The analyst collaborates closely with clinical, operational, and finance teams to ensure accurate reporting, optimize reimbursement, and support strategic decision-making in a rapidly evolving healthcare landscape.

Essential Job Functions :

  • Analyzes value-based care performance data and financial impact
  • Monitors payer contract compliance and incentive structures
  • Identifies trends in reimbursement and recommending improvements
  • Supports provider education and documentation optimization
  • Collaborates on initiatives to enhance care quality and cost efficiency
  • Provides feedback and input into value based agreement contracting based on industry standards and trends
  • Provides support to review underpayments as necessary
  • Provides support to director during contract negotiations
  • Performs other duties as assigned or needed to meet the needs of the department / organization.

#Altru

Education :

  • Required : Bachelors - Related Field
  • Work Experience :

  • Required : A minimum of 2 years Related Experience
  • Language Requirements :

    This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

    Physical Demands :

  • Sit : Frequently (34-66%)
  • Stand : Occasionally (5-33%)
  • Walk : Occasionally (5-33%)
  • Stoop / Bend : Rarely (1-4%)
  • Reach : Frequently (34-66%)
  • Crawl : Not Applicable
  • Squat / Crouch / Kneel : Rarely (1-4%)
  • Twist : Occasionally (5-33%)
  • Handle / Finger / Feel : Continuously (67-100%)
  • See : Continuously (67-100%)
  • Hear : Continuously (67-100%)
  • Weight Demands :

  • Lift -Floor to Waist Level : Sedentary (
  • Carry : Sedentary (
  • Push / Pull : Sedentary (
  • Slide / Transfer : Not Applicable
  • Working Conditions :

  • Indoor : Continuously (67-100%)
  • Outdoor : Not Applicable
  • Extreme Temperature : Not Applicable
  • Driving Requirement Definitions :

  • Professional Drivers : Persons who drive as their main responsibility OR transport passengers or hazardous materials.
  • Frequent Drivers : Persons whose main responsibility is not driving, but drive daily or almost daily.
  • Occasional Drivers : Persons who drive from once per month to as frequently as once per week.
  • Infrequent Drivers : Persons who are generally not expected to drive.
  • Driving Requirement for this position :

    Infrequent Driver

    Reference ID : R6414

    Making a real difference. For one another.

    To take the best care of our patients and community - including friends, family, and neighbors - we need people who are committed to growth, excellence, and one another.

    At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

    Join our team and be a part of a small community with a big heart.

    Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)PandoLogic. Keywords : Reimbursement Analyst, Location : Larimore, ND - 58251

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    Reimbursement Analyst • Larimore, ND, US

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